CURRENT COMPLICATIONS OF DIAGNOSTIC AND THERAPEUTIC CARDIAC-CATHETERIZATION

[摘要] Data from 2,883 cardiac catheterizations performed during an 18 month period (from July 1986 through December 1987) were analyzed to assess the current complication profile of diagnostic and therapeutic procedures. Procedures performed during the study period included 1,609 diagnostic catheterizations, 933 percutaneous transluminal coronary angioplasties and 199 percutaneous ballon valvuloplasties. Overall, the mortality rate was 0.28% but ranged from 0.12% for diagnostic catherizations to 0.3% for coronary angioplasty and 1.5% for ballon valvuloplasty. Emergency cardiac surgery was required in 12 angioplasty patients (1.2%). Cardiac perforation occurred in seven patients (0.2%), of whom six were undergoing valvuloplasty, and five (2.5% of valvuloplasty attempts) required emergency surgery for correction. Local vasuclar complications requiring operative repair occurred in 1.9% of patients overall, ranging form 1.6% for diagnostic catheterization to 1.5% for angioplasty and 7.5% for valvuloplasty. Although the complication rates for diagnostic catheterization compare favorably with those of previous multicenter registries, current overall complications rates are significantly higher because of the performance of therapeutic procedures with greter intrinsic risk and the inclusion of increasingly aged and acutely ill or unstable patients.

[发布日期] 1988-12-01